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<html>
<head>

<title>Retreat Registration</title>

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<meta name="generator" content="Wufoo.com" />

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<link rel="stylesheet" href="css/structure.css" type="text/css" />
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</head>

<body id="public">
	<div id="container" class="ltr">

		<h1 id="logo">
		</h1>

		<form id="form69" name="form69" class="wufoo topLabel page"
			autocomplete="off" enctype="multipart/form-data" method="post"
			novalidate action="circleInfoPage.jsp">

			<header id="header" class="info">
				<h2>Edit Circle Information</h2>

			</header>

			<ul>
				<li id="foli9"><label class="desc" id="title9" for="Field9">
						Circle Name <span id="req_9" class="req">*</span>
				</label>
					<div>
						<input id="Field9" name="Field9" type="text" spellcheck="false"
							class="field text medium" value="Stony Brook Seawolves" maxlength="255" tabindex="12"
							required />
					</div></li>




				<li id="foli9"><label class="desc" id="title9" for="Field9">
						HQ Location <span id="req_9" class="req"></span>
				</label>
					<div>
						<input id="Field9" name="Field9" type="text" spellcheck="false"
							class="field text medium" value="Stony Brook, NY" maxlength="255" tabindex="12"
							required />
					</div></li>

				<li id="foli20" class="notranslate       "><label
					class="desc" id="title20" for="Field20"> Photo <br />Note:
						File upload fields are currently disabled due to server
						maintenance.
				</label>
					<div>
						<input id="Field20" name="Field20" type="file" class="field file"
							disabled="disabled" size="12" tabindex="5" />
					</div></li>







				<li id="foli11" class="notranslate      "><label class="desc"
					id="title11" for="Field11"> Comments </label>

					<div>
						<textarea id="Field11" name="Field11"
							class="field textarea medium" spellcheck="true" rows="10"
							cols="50" tabindex="20" onkeyup="">Go Seawolves!</textarea>

					</div></li>

				<li class="buttons ">

					<div>

						<input id="saveForm" name="saveForm" class="btTxt submit"
							type="submit" value="Submit" />
					</div>

				</li>


			</ul>
		</form>

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	<img id="bottom" src="images/bottom.png" alt="" />
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